0001785991-19-000001.txt : 20190820 0001785991-19-000001.hdr.sgml : 20190820 20190820141519 ACCESSION NUMBER: 0001785991-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190820 DATE AS OF CHANGE: 20190820 EFFECTIVENESS DATE: 20190820 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Oral Image, Inc. CENTRAL INDEX KEY: 0001785991 IRS NUMBER: 842466463 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-346996 FILM NUMBER: 191038771 BUSINESS ADDRESS: STREET 1: 1000 NE 122ND AVE. CITY: PORTLAND STATE: OR ZIP: 97230 BUSINESS PHONE: 855-352-5926 MAIL ADDRESS: STREET 1: 1000 NE 122ND AVE. CITY: PORTLAND STATE: OR ZIP: 97230 D 1 primary_doc.xml X0708 D LIVE 0001785991 Oral Image, Inc. 1000 NE 122ND AVE. PORTLAND OR OREGON 97230 855-352-5926 DELAWARE None None Corporation true 2019 Vincent John Mansfield 1000 NE 122nd Ave. Portland OR OREGON 97230 Executive Officer Director Cyrus K Tahmasebi 1000 NE 122nd Ave. Portland OR OREGON 97230 Director Peter V Phan 1000 NE 122nd Ave. Portland OR OREGON 97230 Executive Officer Director Dung Quang Mai 1000 NE 122nd Ave. Portland OR OREGON 97230 Executive Officer Director Vinh John Lan 1000 NE 122nd Ave. Portland OR OREGON 97230 Executive Officer Director Steven Adrian Cunningham 1000 NE 122nd Ave. Portland OR OREGON 97230 Executive Officer Other Health Care No Revenues 06b false 2019-08-07 false true false 25000 1000000 50000 950000 true 0 1 0 0 175000 true false Oral Image, Inc. Steven A. Cunningham Steven A. Cunningham Corporate Secretary and General Counsel 2019-08-20